nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcutePage 32CHPsMentalHealthSpecialtiesServices7.4.5 Drugs for impotenceComment National guidance for prescribing drugs for erectile dysfunction (and other schedule 11 drugs) isavailable at the following web link http://www.show.scot.nhs.uk/sehd/pca/pca1999(m)9(p)3.htmAlprostadil (Caverject®, Muse®) Sildenafil Tadalafil Vardenafil 8 Malignant disease and immunosuppressionComment Please refer to Superior Vena Cava Obstruction Treatment Guideline for Acute Services (Appendix 21),Superior Vena Cava Obstruction Guideline for Primary Care (Appendix 22),Malignant Spinal Cord Compression Guideline for Seconday Care (Appendix 23) &Malignant Spinal Cord Compression Guideline for Primary Care (Appendix 24)8.1 Cytotoxic drugs8.1.1 Alkylating drugsChlorambucilCyclophosphamide IfosfamideMelphalanBendamustine Hydrochloride (Levact®) Restricted use West of Scotland Cancer NetworkBusulfanTo be prescribed only by West of Scotland haemopoieticstem cell transplant team with HSCT protocolsMesna (urothelial toxicity)Treosulfan8.1.2 Cytotoxic antibioticsBleomycinDoxorubicinEpirubicinIdarubicinMitomycin-CMitozantroneDaunorubicin8.1.3 AntimetabolitesCapecitabineCladribineRestricted use West of Scotland Haematology ProtocolCytarabineFludarabine Phosphate5-Fluorouracil (cream - in liaison with Dermatologist) Gemcitabine 200mg and 1g powder Restricted use West of Scotland Cancer Networkfor infustion (Gemzar®)Methotrexate NelarabineRestricted use West of Scotland Cancer NetworkPemetrexedRestricted use West of Scotland Cancer NetworkTegafur with Gimeracil and Oteracil Restricted use West of Scotland Cancer Network(Teysuno®)Comment For patients, who are receiving S/C Methotrexate for Rheumatoid Arthritis, administer in liaison withAcute Pharmacy Services.MercaptopurineThioguanineFolinic acid (Folate rescue)8.1.4 Vinca alkaloids and etoposideEtoposideVinblastineVincristineVinorelbine